Johnson, Bradley
Johnson, Bradley is an individual health care provider with primary practice located at 8300 Constitution Ave Ne , Albuquerque NM 87110-7624. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Bradley can be contacted via phone (505) 291-2700.Contact Information
Primary practice address
8300 Constitution Ave Ne
Albuquerque NM 87110-7624
Phone: (505) 291-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2022-0038 | New Mexico |
Profile Details
| NPI number | 1760072847 |
|---|---|
| LBN Legal business name | Johnson, Bradley |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2021 |
| Last updated | Jun 13th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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